MEDICARE: JOEL SILVA R.E.S.N.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225CA2400X	Assistive Technology Practitioner Rehabilitation Counselor
2	247200000X	Other Technician

General Provider Information

NPI Number	:	1003196031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL SILVA R.E.S.N.A

Provider Business Mailing Address
First Line	:	1239 LAFAYETTE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-1219
Country	:	US
Telephone Number	:	915-599-1129
Fax Number	:	915-599-1141

Provider Business Practice Location Address
First Line	:	1239 LAFAYETTE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-1219
Country	:	US
Telephone Number	:	915-599-1129
Fax Number	:	915-599-1141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2011
Last Update Date	:	09/20/2023

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